WK Eye Center at Towne Oaks

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WK EYE CENTER AT TOWNE OAKS

Practice address

855 Pierremont Rd
Suite 102
Shreveport, LA 71106-2040

Phone

(318) 213-3333

Fax

(318) 213-3332

NPI assigned

Feb 7, 2013

Last updated

Oct 16, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Greg J. Gavin

Title

Network Administrator

Phone

(318) 212-8780

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1831438027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 PIERREMONT RD",
            "address_2": "SUITE 102",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062040",
            "telephone_number": "318-213-3333",
            "fax_number": "318-213-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 PIERREMONT RD",
            "address_2": "SUITE 102",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062040",
            "telephone_number": "318-213-3333",
            "fax_number": "318-213-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK EYE CENTER AT TOWNE OAKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "NETWORK ADMINISTRATOR",
        "authorized_official_telephone_number": "318-212-8780"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "275381",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• WK Community Health Clinic
• WK Ctr for Womens Health and Wellness
• WK Digestive Disease Consultants
• WK Doctors for Women
• WK Elite Internal Medicine
• WK Family Medicine Partners at Pierremont
• WK Frederick and Braud Clinic
• WK Gastroenterology Associates
• WK General Surgery Pierremont
• WK Gynecologic Oncology Clinic

• Optometrist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.